Structured resuscitation of the newborn following the NRP algorithm.
Indications
- • Non-vigorous newborn — apnea, gasping, HR < 100
Contraindications
- ⚠ None
Equipment
- • Radiant warmer
- • Suction (bulb, catheter)
- • Neonatal BVM + masks (00, 0, 1)
- • Pulse oximeter
- • ETT 2.5–4.0
- • Laryngoscope + Miller blade
- • UVC kit
- • Adrenaline 1:10,000
Positioning
- • As appropriate for the procedure and patient comfort.
Consent
- • Explain indication, benefits, alternatives
- • Explain risks & complications
- • Obtain written/verbal consent as per SOP
- • Document consent
Universal precautions
- • Hand hygiene
- • PPE — gloves, mask, eye protection
- • Aseptic technique
- • Sharps safety
- • Verify patient identity & site
Step-by-step (0/7)
Tap to complete
Warm, dry, stimulate, position, clear airway.
Immediate complications
- ⚠ Pneumothorax
- ⚠ Failed intubation
Delayed complications
- • HIE
Recognition
- • Sustained bradycardia
Initial management
- • Follow NRP algorithm
Prevention
- • Prepared team; equipment checked
Post-procedure observation
- • Vitals q15min × 1h then hourly
Monitoring
- • Site inspection
- • Symptom review
Documentation
- • Procedure note
- • Consent
- • Findings
Patient instructions
- • Report pain, bleeding, fever, worsening symptoms
Related in WardRound
Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.
